Provider Demographics
NPI:1477746311
Name:BATTLE CREEK HEALTH SYSTEM
Entity Type:Organization
Organization Name:BATTLE CREEK HEALTH SYSTEM
Other - Org Name:BATTLE CREEK HEALTH SYTEM -URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT OF MEDICAL AFFAIRS
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:269-966-8004
Mailing Address - Street 1:5352 BECKLEY RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-4155
Mailing Address - Country:US
Mailing Address - Phone:269-979-6888
Mailing Address - Fax:
Practice Address - Street 1:5352 BECKLEY RD
Practice Address - Street 2:SUITE B
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-4155
Practice Address - Country:US
Practice Address - Phone:269-979-6888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BATTLE CREEK HEALTH SYSTEM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-08-23
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care